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The article was professionally consulted by MSc Vu Van Quan - Gastroenterologist, Department of General Surgery & Anesthesiology - Vinmec Hai Phong International General HospitalGallbladder sludge is a disease that can cause many dangerous complications such as bile stasis, biliary tract infection, gallbladder, acute pancreatitis,... However, gallbladder sludge has few symptoms. The disease is usually silent with no obvious symptoms.
1. Gallstone gallstones
The gallbladder is located between the intestines and the liver, where it stores bile produced by the liver and secretes it into the small intestine to aid in the digestive process. The gallbladder is regularly emptied through the digestive process. Gallbladder sludge, also known as gallbladder sludge, is a mixture of calcium bilirubinate salts, cholesterol crystals and mucus that form a bile sludge. Over time, bile sludge can form cholesterol stones and cause many other dangerous complications. Gallbladder sludge is also known as a precursor to gallstones.Some factors increase the risk of gallbladder sludge stones such as diabetes, high blood lipids, too fast weight loss, and pregnant women,... Prevalence of gallbladder sludge in women gender is higher than that of men.
2. Warning symptoms
Most cases of gallstone disease in the gallbladder are silent, and there are no obvious symptoms. In addition, some cases may experience symptoms such as abdominal pain, nausea, bad voice, fever, bloating, slow digestion, indigestion. And that is also when gallbladder sludge becomes dangerous with many unpredictable complications such as bile stasis and bile leak.
Gallbladder sludge usually has no warning symptoms, at some time the patient may see signs such as flatulence, abdominal distention, nausea, loss of appetite, long digestion,... Symptoms This is often transient but not obvious. If persisted for a long time, gallbladder sludge can form gallstones (gallstones, common bile ducts, biliary stones, liver stones,...). Once the stones have formed, the patient will experience acute symptoms associated with gallstones. However, gallbladder sludge can also lead to cholecystitis even if you don't have gallstones.
3. Are gallbladder sludge dangerous?
Bile is continuously formed in the liver and stored and concentrated in the gallbladder. If there is too much cholesterol in the gallbladder, it is easy to form gallbladder sludge. Gallbladder sludge is dangerous, not only because it often causes cholangitis and gallbladder inflammation, but its danger also lies in the progression of the disease for many years without symptoms.
When symptoms appear, it is also the time when stones cause complications such as infection of the biliary tract, gallbladder, or acute cholecystitis, pyelonephritis, abscess... If in mild cases, the patient will be treated. With timely treatment, the patient will recover well without surgery. In severe cases, emergency cholecystectomy is required. However, due to the recurrent nature of stones, after treatment many people still face the risk of cholecystitis due to gallbladder sludge that is easy to recur in the future.
4. Signs of gallbladder sludge becoming dangerous
Right flank pain comes on suddenly, pain usually begins after eating a lot of fatty foods, accompanied by symptoms such as vomiting, fever or sweating, chills, accompanied by bloating, and abdominal distention . The level of pain can be intense or dull, especially if the pain lasts for several hours, and the intensity of the pain does not decrease, it is a sign that the patient is in danger.
5. Prevention
In the treatment regimen for gallbladder sludge disease, in addition to treatment drugs and supporting products, doctors always give advice in a nutritional regimen to enhance treatment effectiveness. Although you do not have to abstain too much when you have gallstones, you should limit the following foods:
Reduce fatty foods: Fatty foods such as fried foods, animal organs containing a lot of cholesterol not only damage the liver but also cause damage to the liver. It also increases the risk of gallstones. Eating a lot of green vegetables and fruits containing vitamin C helps limit the absorption of fat in the intestines, preventing constipation and diarrhea. Eat less sweets and refined starches: Powdered sugar, especially refined sugar in sweets and soft drinks... because they are also foods that contribute to an increase in fat and cholesterol in the liver. Increase exercise: Exercise, exercise regularly to improve health, increase biliary tract movement. Periodic deworming, eating hygienically to prevent biliary tract infections caused by helminths. Gallstone gallstones have few warning symptoms, the disease often takes place silently without obvious symptoms. Therefore, when you see abnormal signs such as abdominal distention, slow digestion, nausea, ... or have lower rib muscle cramps or other unusual signs, it is necessary to immediately go to medical facilities for treatment. examine and diagnose the cause, take timely intervention measures.
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